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Long Term Care Update: As Winter Arrives, CMS Renews its Emphasis on COVID-19 Vaccinations, Bivalent Boosters and Timely Therapeutic Treatments

Healthcare Law Blog

Addressing Declines in COVID-19 Vaccination Rates and COVID-19 Treatment. A pre-Thanksgiving analysis of this data revealed that just 45% of SNF residents and 23% of SNF staff were up-to-date with COVID-19 vaccines and boosters. [iv] ii] QSO-21-19-NH (cms.gov). iii] 42 CFR 483.10(c)(6).

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June Regulatory Update

Verisys

Centers for Medicare & Medicaid Services : The US Department of Health and Human Services has issued a final rule update concerning guidelines for COVID-19 vaccination requirements for Long-Term Care Facilities (LTC) and Intermediate Care for Individuals with Intellectual Disabilities (ICFs-IID).

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Coding COVID for Uninsured Patients

AIHC

A separate program, the HRSA COVID-19 Coverage Assistance Fund, is available to reimburse providers for COVID-19 vaccine administration to underinsured individuals whose health plan either does not include COVID-19 vaccination as a covered benefit or covers COVID-19 vaccine administration but with cost-sharing.

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Three Data Breach Events Lead to the Exposure of PHI for 138,000 Individuals

Healthcare Compliance Blog

The information that may have been viewed or acquired in the attack included names, dates of birth, diagnoses, clinical treatment information, physician and or hospital name, dates of service, and health insurance information. The phishing attack occurred on November 16, 2021, and affected 1,300 individuals.

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Skilled Nursing Update: CMS Hands Surveyors Details on How to Review the Staff Vaccine Requirement

Hall Render

Nursing homes face possible citations, civil monetary penalties, denial of payments and—as a final measure—termination of participation from the Medicare and Medicaid programs by the CMS as they embark on complying with the new CMS COVID-19 vaccine requirements for their staff. COVID-19 Staff Vaccination Matrix.

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What is HIPAA Enforcement Discretion?

HIPAA Journal

For example, the Secretary can waive the requirements for out-of-state healthcare professionals to be licensed before being allowed to practice, or exercise discretion when investigating violations of the physician self-referral law (§1877 of the Social Security Act).

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Health Provider News – May 20, 2022

Hall Render

AHA responds to report on hospitals’ requested price hikes to insurers. Nonprofit hospital margins to remain weak through Q2, Fitch says. Nonprofit hospitals squeezed by pricier labor, investment losses in Q1. OIG: 25% of Medicare hospital patients experienced harm pre-pandemic. Arkansas Gets $3.9M CALIFORNIA.